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Cluster Headache In Children

AMBULATORY CARE:

A cluster headache

is a very painful headache that starts quickly, peaks within 15 minutes, and stops suddenly. The headache usually lasts 30 to 60 minutes but can last up to 3 hours. Cluster headaches follow patterns and often occur at the same time of the day or year. Your child may have cluster headaches once every other day, or up to 8 each day. A cluster headache in children can be triggered by medicine, stress, bright light, or heat. A cluster period usually lasts for 2 to 12 weeks but can last longer than a year. Weeks or months may pass before a new cluster period begins. Cluster headaches are less common in children than in adults. Children usually do not grow out of cluster headaches.

Common symptoms include the following:

Cluster headaches may involve pain around one eye, along with drooping of the lid, tearing and congestion on the same side as the pain
  • Severe pain on one side of the head that stabs or burns
  • Swollen or watery eye, or droopy eyelid
  • A runny or stuffy nose
  • Red or sweaty face
  • Restlessness
  • Sensitive to noise or light
  • Exhaustion after the headache stops

Call 911 if:

  • Your child's pain is so bad he or she talks about committing suicide.

Seek care immediately if:

  • Your child feels more tired or sleepy than usual.
  • Your child has vision changes.
  • Your child's stomach is upset or he or she is vomiting.
  • Your child has a seizure.

Contact your child's healthcare provider if:

  • Your child cannot get enough sleep because of the headaches.
  • Your child's headaches happen each time he or she is active.
  • Treatment does not help your child's symptoms.
  • You have questions or concerns about your child's condition or care.

Treatment:

Cluster headaches cannot be cured, but treatment may help your child's symptoms. Your child's healthcare provider may have your child try several medicines to find out what works best. Your child may need a blend of medicines for pain and for prevention. The following may be used to treat pain during a cluster headache:

  • Extra oxygen may give your child pain relief during a cluster headache. Your child will breathe through a plastic mask that is attached to an oxygen tank for about 15 minutes.
  • Migraine medicine may be given to relieve your child's pain quickly.
  • Steroids may help reduce pain and swelling. Steroids may also be used to prevent cluster headaches.
  • Numbing medicine may be given to numb your child's pain if other treatments do not work.

Help manage your child's symptoms:

  • Do not let your adolescent smoke. Cluster headaches are more common among smokers. Ask your healthcare provider for information if your adolescent currently smokes and needs help to quit. E-cigarettes or smokeless tobacco still contain nicotine. Talk to your adolescent's healthcare provider before he or she uses these products.
  • Do not let your child travel between altitudes. Altitude changes can trigger headaches. Do not let your child fly on an airplane or travel between places with high and low altitudes.
  • Set a regular sleep schedule. Have your child go to sleep and wake up at the same times each day. Changes in sleep patterns may trigger cluster headaches.
  • Manage stress. Stress or emotional challenges can trigger cluster headaches. Find out what works for your child to lower stress.
  • Keep a headache record. Write down when your child's headaches start and stop, and exactly what your child was doing when they began. Record what your child ate or drank and how much he or she slept in the 24 hours before the headache. Keep track of the things you or your child did to treat the symptoms. Write down if they did or did not help. Do this to learn what triggers your child's headaches and how to make them go away.
  • Work with your child's healthcare provider to manage your child's pain. Both pain relievers and medicines used to treat other health conditions can trigger cluster headaches. Go over all your child's medicines with your healthcare provider. Work with the provider to manage your child's headache pain and other conditions.

Follow up with your child's healthcare provider or neurologist as directed:

Bring the headache record. Write down your questions so you remember to ask them during your visits.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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